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Home My WebLink AboutKIJIK LT 1K ijik Lot 1 #017-092-22 � HL ENBURG DILLEY & LINNELL EngIneering Consultants May 8, 2007 Mr. Frank Bettina 7362 West Parks Highway 11343 Wasilla, Alaska 99654 Re: Platting Board Resolution 2005-006 Lot 1 Mik Subdivision Dear Frank, .. "1, 1) OT CoA #3 We understand you are In the process of vacating portions of the 140"' Avenue right- of-way adjoining your property at Lot 1, Wjik Subdivision. As a condition of that vacation you need documentation of the wastewater system. Platting board resolution 2005-006 (Page 2, Item C.3, Attachment 4) required submitting *an as-buitt Inspection report documenting the construction of an on-sfte wastewater disposal system under permit number SW970357 to the Onsite Water and Wastewater Services section of the Development Services Department.' I spoke with Jeff Poet with MOA On -Site Water and Wastewater Services (OSS) on May 8, 2007 and he indicated that the attached Inspection report which is currently on file at OSS is satisfactory. He Indicated that unless title is being transferred or there is an increase in the number of bedrooms (4 bedrooms are currently authorized), no further action is needed. if you need anything further please feel free to contact me at (907) 84-2120, or at shattenburgandialaska.com. Sincerely, Hattenburg Dille t£ Llnneil, LLC Scott Hattenburg, P.E 'ncipal Cc. Jeff Poet, MOA OSS Scott Hattenburg, PE Lorle Ogley, PE1CPc Attachments: Inspection report (9 pages) Dennie Unnell, PE U.lehegenhurgft Documen4Tttnk Bettina U*K doc David Lundin, PE 3330 Arctic Boulevard Suite 100 • Anchorage Alaska 89003 •Phone: 807.004.2120 • Fax: 807.6042122 808 South Salley Street Suite 102 • Palmar Make 89840 9 Phone: 807.740.6230 • Fax: 807.746.6231 MUNICIPALITY OF ANCHORAGE /® DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION I ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 2.64-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PRONE NEW 0,0_7 /7U� ❑UPGRADE MAILING ADDRESS 13ox LEGAL DESCRIPTION LOCATION NO. OF BEDROOMS Well Absorption area Dwelling PERMIT NO. Uy DISTANCE TO: /V 14 - 6t 00S—_ Z— 1— Z Manufacturer Material No. of compartments CL rn Liq. capacity in gallons Inside length Width Liquid depth ZS J ADE: IF HOMEM y DISTANCE TO: Well Dwelling PERMIT NO. J 0 Z 02 Material Liquid in < Manufacturer capacity gallons O Well Foundation Nearest lot line PERMIT NO. w= DISTANCE TO: Al� "Z + jj vv S73.S" J LL Z No. of lines Length of eachline Total length of lines Trench width Distance between lines F Z w / r Qs r 3 inches I G Top finish Material beneath tile Total effective absorption area F0- of tile to grade r 0 41500 inches�cy Length Width Depth PERMIT NO. LU 0 Q I— Type of crib Crib diameter Crib depth - Total effective absorption area w 4 w y Well Building foundation Nearest lot line DISTANCE TO: Class Depth Driller Distance to lot line PERMIT N0. J J w 9: Building foundation Sewer line Septic tank Absorption area(s) DISTANCE TO: OTHER PIPE MATERIALS C:s � iE-o r• , SOILTEST RATING ,/2—Z> INSTALLER REMARKS r � t/ a 64 I ey �J ...e. ••��,�rD h\�o�.11. e w GfA�JUKej u^ No. 1995-E APPROVED DATE LEGAL 72-013 (Rev. 3/78) ral up r_4 1. #__; I � ql, " 9 x I I-rl k-9 t— DEPARTMENT l'_,,_.,HEALTH AMC ENVIRONMENTAL t�_,,OTECTION 825 'L' STREET, ANCHORAGE, AK. 99501 264-4720 PERMIT NO. 800535 APPLICANT PAUL. JOHNSON BOX 2014 ANCH. 344-1709 LOCATION 140TH. ST. LEGAL LOT I KI JI} SUB' LOT SIZE 84-000 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 4 SOIL RATING (SQ FT/BR)= 120 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: THE LENGTH DIMENSION 15 THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET) - THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). I:p F__ fA_ u l F-_ F7 L> !F; 1= F=16 T. T I::- _r FA P-4 IF--' IF. 7 F=' n !r L_ 0 ir-4 PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. -rt.jtil -=� > -IZ- -JU I . U - - - <-- F7iF-_F= FREEC FR FE BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AMC:' ANY ON-SITE SEWAGE DISPOSAL. SYSTEM IS 100 FEET FOR A PRIVATE WELL OR 150 'TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AMC: TO A COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F- FEE FZ M I -r F= X F:" I F, E:!F. U.- E= f--- F=M E� E= Fi! 3-- A _- -1 I CERTIFY THAT 1: 1 AN FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AMC WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: 1 WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE xESIDENCE IS REMODELED T -A INCLUDE MORE THAN 4 BEDROOMS. --------------------- 7i •lLn 0. 1 Y .0 1 11 T o SOILS LOG MUNICIPALITY OF ANCHORAGE \ ENT OF HEALTH AND ENVIRONMENTAL PROTECTION O PERCOLATION DEPARTMENT � +r TEST 825 L. Street, Anchorage, Alaska 99501 264.4720 SOILS LOG — PERCOLATION TEST PERFORMED FOR: IPti" L -,T/O Ile%~ S o DATE PERFORMED: LEGAL DESCRIPTION: LOT 1 SO e,�D,V It Co 14D0 SLOPE SITE PLAN 1 111 2 3 5 6 t 7 � 4 8 '� 9 °0 10- 11 0 11 a 12 .� 13 14- 15- 16 41516 17 18 19 20 COMMENTS 0 (L La s�N b (SP) &9.k14E0-y 51-wA CG w - S W) %2 S Y/6c , Czw — Gw l WAS GROUND WATER �b L 1/10 S /RClj�lyy ENCOUNTERED? 0 r P IF YES, AT WHAT E DEPTH? Ralph 8.eY6fc la NO. 1995£ d4 AOF�PHO FESS�O�P4^�� I Reading Date Gross Time Net Time Depth to Water Net Drop PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN FT AND FT PERFORMED BY: �-�/L� CERTIFIED BY: a./. .� DATE: u�r�xinmn/ /ri nnu mo! vi viuwnmw'm- Ma1cux1u: ' , 825 \/, STREET/ HNCHOR�GE/ HK��.(01 ` ` 264�4720 PERMIT Nl ( 1120316 ) HPPLICHNT FRHNK BETTINE ]7]] COVENTRY DRIVE 99502 274~6551 LOCATION -190TH STREET LEGHL LOT 1 KIJIK WE LOT SIZE 84410 SQUHRE FEET MINIMUM DISTANCE BETNEEN H WELLHND ANY QNSITE SEWHSE DISPOSHL SYSTEM IS 100 FEET FOR H PRIVHTE NELL OR 150 Ti.-) 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC HELL P1INIMU01 DISTANCE FROM H PRIVHTE WELL TO H PRIVHTE SEWER LINIE IS 25 FEET G -F -4D TO H LINE IS 75 FEET� WELL LOGS FI RIFE. UI REQRED HND MUST �E RETURNED TO THE DEPH�TM�NT W�THIN ]0 DAYS OF THE NB~L CQMPLETION. OTHER REQUIREMENTS MHY APPLY. SPECIFICHTIONS AND CONSTRUCTION ClIHGRHMS ARE HVHILHBLE TO INSURE PROPER INST�LLHTIO�� 1 -y- S: 1-11", 1: Not E, as: �K RD Q lul W F,---'.. IF-,--? ��--20 I CERTIFY THHT 1� I HM FHMILIHR WITH THE REQUIREMENTS FOR ON—SITE SEWERS HND NELLS FS SET FORTH BY THE MUNICIPALITY OF HNCHORAGE 2: I WILL INSTHLL THE SYSTEM IN HCCORDHNCE 1.,111H THE CODES HPPt- ICHNT FRHNK BETTINE �� 00 `�`ll [��=\ » `*��(��/.\[ �^-.�� /(-/�-^ �}�, I I V I •vaI ..—.. . .. Department f. Health and _,Environmenta Protection.-. ".y 825 -� Street, Anchorage.,<AK. 9501 - - 264-4720 # # TTEN PERMIT # # HANDWRI Permit .# 45-a(,)a)\(,9 - WELL- - -- - PERMIT -� Applicant. 't'. VG��v Mailing Address: Location: 1'Z33 Cc7 U e�1-I �' Phone: Number :_ 3Y q -5Po a. Legal Description: �— l K /J ! K �� Lot' Sizee_ 91(1-)Op9, 91� Type of: Soil Absorption System Is Trench: Drainfield _� _ e age Bed: Holding -Tank: Maximum Number of-B:6ffiooms: S it ng(sq.ft DEPTH The.Required Size of the Soil Absorption System Is: LENGTH GRAVEL.DEPTH - - -WIDTH The length dimension is the-length(in feet) of the trench:or drainfield. The. depth of a trench or pit -is -the distanc:e.between the surface of thea.ground and the bottom of the excavation(in feet).. There is no s.et width:for trenches. The gravel depth is the minimum depth of.gravel.between the.outfall pipe and the bottom of the-excavation(in feet).. # RfQUfREB-sEPTTC{hl IOG _ GAL NS # Permit applicant has;the responsibility to inform.this-department during the installation inspections.:of: any wells- adjacent to this property and the.numb.er, of residences that the well will serve-.. # # TWO(Z) INSPECTIONS ARE REQ.U.IRED-* # # Backfilling of any. system without final inspection and approval by this department will be subject.to.p;rosecution- Minimum distance between a.well and any on-site.sewage disposal system is 100 feet for a private well or 150.to 200 feet from -a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to.a community ,.sewer line is. _75 feet. Well_ logs:are required andmust be returned•to:this department within 30. days of the well completion.' Other requirements may apply. Specifications and construction diagrams are, available to insure proper installation. # # # PERMIT EXP:`IRES.DEC.EMBER 31, 1 9 3 2# # # I certify that: (1) I am familiar.with.the-requirements for on-site sewers and wells as set forth by the Municipality of Anchorage-. (2<) I will..instalL the.system in accordance.with codes-. (3)-- I understand that the.on-site-sewer system:may,require enlargement if the residence.is remodeled'.to include more that 3. bedrooms. -Signed: Issued. by - ,/ Applicant _ Date: SWP/024 (1/81.)0 a PER .lic it ; � �. M.Saing Address. o. l �a �3 Jk i istitx x' j � -- fes' 1 JAI Vesc 'i -p mon, _ f # Ise7t _ - � _ 1 ' 7e of 5011 soorption System 1.9: t 2rch ; JDXa inf ie dPI aqe Bed I Holding Tank-- _ tLtll2 hex..-3'cf31 q £ ------- The - The Required Rize of t_tae it &b6orption Sy*tem 7s; KH � Y�a.LENGTH g :_� CRAY DEPTH ris length diNW-Dsion is tire- length(lta feet) of the trench or dxalnfleld. Ille L, h (if a trench or pit IS the diatance between the, 3arface Qf the gxci nd Anc W bottom of the, excavation (iia feet) } There is no set 'Vidth for txanche5- 1 €,i %ravel depth is the InInifflDrd dept3, of qxavej between the ouffall fipe and o Lt. bottom of the P�Xcavat,Qn (iiafeet) . € t applicant has the reoponsibi its, to inform thin department duxinq the ill tion itlspection5 of any v03ls adjacent to th—Is property and the uuplbe ` € i nce that the veal vill serve. ` wo(2) ISS oONS ARE REQUIRED : it Znq 4f Any Ay ;tea VithOUt final iDspeMian and approval b*7 thio de attmeir { be subject to progeoxit-lon- — aim dleptahcia between a well and :any ori --rite uaewage disposal :iysterft is 100. fee - ,_j Veil, or_- 150 to 200 feet fxom a public well depellc- nq Upe the type i i0lic veil, 11�nlmuhl distance ryom a privy- e Ve11 to a private vers=er line 6 f-Vot and to .2 Coffimunity Sewer 13ne is 15 feet, well logs are xe jlTed iauut be returnees tri thla department within 30 dAys of the well oompietl'Dn> r-tequizewnts rtay apply. Specificiatiotas and constTiaction diagrams are Lable to an*M e proper Ira*tallati.on . - PERMIT EXPIRES DECEIB R -r tdfy that a fail ar w Ith the req€a"_rem a � for on-51te z YSc of .as get forth by the € uni.Qipal ty o nCI orage. f vill install the system In acco €lanee with c4cxde-s. (3) 1 u-nderatand that the on-site 5+, -Wer sy5t0m m4y require enlargem-,nt if the residence wg reveled to ircladin rare that 3 bedrooms= 15sued by: m_N< Val - - - - 11 . PUMPING LEVEL below land surface and YIELD -. WATER WELL RECORD ft. after _hrs.-pumpi8hq .J 9 -P.M. STATE OF ALASKA after ',hrs; pumping DEPARTMENT OF NATURAL RESOURES Division of Geological d Geophysical Surveys Drilling Permit No. LOCATION OF WELL (Please complete either to, Ib or Ic.) A.D.L. No. la. Borough Subdivision Lot Black Ib. I/a gut. Section No. Township NO Range E[ Meridian' - - 1 1\ ( 0—of—of—of 13, PUMP: (if available) ' HP - S� WE Ic. DISTANCE AND DIRECTION FROM ROAD INTERSECTIONS - 3. OWNER OF WELL: r Subm. ❑--"Jet" �,Centrifical Other - Address: � // Street Address and Area of Well Location 2. WELL LOG a Feet Below Surface 4. WELL DEPTH: (final) ft[� 5. DgTE OF COMPLETION d Material Type Top Bottom -- 16. WATER WELL CONTRACTORS CERTIFICATION:- - 30 - 6. Q Cable tool ❑ Rotary [3 Driven E] Dug El - EjJet ted C] Bored C3 Other: - -'-: 15. Water Temperature _a El F, C 0 J 2i 'Y, [� { i t•1 r� (</ v�r ✓ -.� % -O --- 7. USE: �.' Domestic Q Public Supply E] Industry - ❑ irrigation Recharge El Commerical C] Test well O other. - % 4 L 1/ ( /� lJ ti - - .if ec, v{ f D D, - P { �%/ t.V. 7✓✓ -1) `4 S. CASING: 0 Threaded � Welded diam. "K in.- tot/ Ift. DepthWeight �' lbs. ft. diam. in. to - ft. Depth Stickupft. r�L/u �(t<LI `P" ! i, rJ� I 11 jr� 9. FINISH OF WELL: Type: �f °n. >�Ja .��%P �/� Diameter: "- Slot/Mesh Size: Length: Set between ft. end-. ft. `- -Gravel pack - ,•4 y r �s D. ,/tI S h• -/ �' f (��-, i•� - { ✓ - - - -.. - - -- -Backfilling p STATIC WATER -LEVEL: `. —7 f f I. / / _ - - - C3 Above or _ 0 Below _land surface Date _ . - Equipment used: 7, 1), - - - - - - 11 . PUMPING LEVEL below land surface and YIELD -. ft. after _hrs.-pumpi8hq .J 9 -P.M. after ',hrs; pumping 12 GROUTING Well'Grouled,:- Yes �y Na Mate rid l Neat Cement: E] Other. - 13, PUMP: (if available) ' HP - c m Length of Drop Pipe ft. capacity r Subm. ❑--"Jet" �,Centrifical Other - n° a 14, REMARKS: - a -- 16. WATER WELL CONTRACTORS CERTIFICATION:- - -�{ - -'-: 15. Water Temperature _a El F, C _ This well was drilled) under my jurisdiction and this report is true to the best Rf ray knowledge and belief; _ D, (Rr-eegii�s�te/retl /B�u�sinesss Nomd �- ' - - Contract License Number - Address: J../f"f---�/✓--.?.f, `- /��!•l I%%5'Y/':! i) Signed://%�`� rX0 V Dote:- ""`( "!wv Asthoftied R presentsfive / / _ - Form 02-WWR (II/81) Copy Distribution: WHITE-Staie DGGS, PINK -Driller, CANARY- Customer Time APPLI ,AT FILLS OUT UPPER HAL -d'; ONLY - ,Property -Owner , Fy, A Phone A)'c 1 C) Ct M Date Mailing Address l< (BOnj Nc �OY c e— Zip Code 5�t jo'7 Date - p Buyer �tx-r,lsi. Inspector Address' Zip Code Inspector - Lending Institution / �yX�kt� S v/r S��ncr �c, ;J ,5«. Phone Address .°� 9 S-ru lj�- Zip Code Field Notes: DEPT C- ;"' I.' ! P, Realty Co. & Agent - Phone Address - - Zip Code 0 1982 Legal Description{- RECEIVED ( �) APPROVED BEDROOMS Street Location pr c, F �U" / e7``) 5 t` Type of Residence `X v Single Family - Multiple Family No. of Bedrooms Soils Rating ❑ Other Well To Absorption Area Well Log Received Water Supply �l Individual Community ��L 2)L 1 ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. wells drilledthat date, well depth log if - Well to Tank h .(For } A ' priorto give (attach available). ❑ Public Utility Sewer Disposal X Individual s 35 Year Individual Installed: ❑ Public Utility When Connected to Public Utility: - ❑ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time 1 C) Ct M Date Date Date Date 7 a u. Inspector Inspector Inspector - Inspector Field Notes: DEPT C- ;"' I.' ! P, 67 ENVIR,,)i V, :t,.A...:..0.-CTION 4 yr 0 1982 RECEIVED ( �) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL - ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL - `X v DATE BY: Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received Septic Tank Size Well to Tank 72.023 (3182) Development Services Department p p Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 017-092-87-000 Expiration Date: 2/15/2024 Legal description KIJ I K LT 1 A Site address 6310 E 140TH AVE Anchorage AK 99516 Current property owner(s) ALASKA USA FEDERAL CREDIT UNION X The On-site system(s) is/are approved for 4 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: Original Certificate Date: 11/15/2023 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory x Other COSA Approval June 2022 TANK WAS DECOMMISSIONED MUHMPA- LAT YOr- ° HCHOG AGE Development Services Departmental Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 017-092-N 'd7 Complete legal description Kljik L1 Location (site address) 6310 E 140th Current property owner(s) Global One Credit Union (formerly AKUSA) Day phone 2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS 3. TYPE OF WATER SUPPLY: 0 Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: Q Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: FE -1 Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $ 9 r-1 i� f Waiver Fee $ Date of Payment / �I .2g G3 Date of Payment COSA # DAG 2'�) I y 14 2_ Waiver # COSA Application—June 2022 Kijik L1 017-092-22 1 X 8/27/82 161 161 X X 12+ 10/31/23 4 NA X X X 23 AWPS WELL FLOW PERFORMED BY AWPS 10/31/23 TANK DECOMMISSIONED -ABANDONED IN PLACE 78 X X X X X X X X X X 11/9/23 1 Kim Johnson From:Karen Kassik-Michelsohn <karen@manddconst.com> Sent:Tuesday, November 14, 2023 4:37 PM To:Kim Johnson Subject:FW: 6310 E 140th Ave See below Karen Kassik Michelsohn, CPBD, Fellow AIBD Michelsohn and Daughter Construction, Inc. 3410 Balchen Dr., Anchorage, AK 99517 Office 907-522-3375, Cell 407-468-6150 Karen@MandDconst.com, www.MandDconst.com www.Houzz.com/pro/kkassik/michelsohn-and-daughter Past President and Board Member of American Institute of Building Design Past President and current Board Member of Anchorage Home Builders Association From: Noffsinger, Ross D. <ross.noffsinger@anchorageak.gov> Sent: Tuesday, November 14, 2023 3:44 PM To: Wockenfuss, Deborah M. <deborah.wockenfuss@anchorageak.gov>; Cogger, Benjamin M. <benjamin.cogger@anchorageak.gov> Cc: Karen Kassik-Michelsohn <karen@manddconst.com> Subject: FW: 6310 E 140th Ave Deb, Ben, Please issue this COSA based on the informaƟon provided. Thanks, Ross Noffsinger Engineering Services Manager/AcƟng Building Official 343-8309 From: Karen Kassik-Michelsohn <karen@manddconst.com> Sent: Tuesday, November 14, 2023 3:19 PM To: Noffsinger, Ross D. <ross.noffsinger@anchorageak.gov> Subject: 6310 E 140th Ave [EXTERNAL EMAIL] Ross, The buyers have hired us to design a new home for the property and to construct a new home once the exisƟng home is demolished. All parƟes want to close the purchase as soon as possible. The exisƟng home is basically uninhabitable. The north side of the home has a man door and garage door, the east and west sides are underground, and the south side is the picture that is on the MOA site. The enƟre roof is covered with dirt and grass. It has been vacant for over 3 years and is owned by Global Credit Union as a result of repossession. We have had the sepƟc tank decommissioned, pumped and filled with dirt. We had a flow test done on the well which produces 4 gal per minute which the buyers want to keep. Thank you for you consideraƟon for the COSA of this property. 2 Karen Kassik Michelsohn, CPBD, Fellow AIBD Michelsohn and Daughter Construction, Inc. 3410 Balchen Dr., Anchorage, AK 99517 Office 907-522-3375, Cell 407-468-6150 Karen@MandDconst.com, www.MandDconst.com www.Houzz.com/pro/kkassik/michelsohn-and-daughter Past President and Board Member of American Institute of Building Design Past President and current Board Member of Anchorage Home Builders Association Kim Johnson From: Jonathon Semon <northe/nexcavatmn@gmaiicom> Sent: Friday, November 3, 2023 1:53 PM To: Kim Johnson Cc: Karen "Michelson &Daughter" Subject: 140th Street tank 0n\ Northern Excavation and Construction has provided services to clecommission the existing septic tank on Lot I Kijik Subdivision. Please let usknow ifyou have any questions. Warm Regards, Leslie Hyman -Semon Northern Excavation &[onstrucdon, LL[ Cell: (907)250-4122 Office: (907)694-1373 Fax: (907)694-1374 Received Date/Time 10/31/2023 14:06 10/31/2023 12:05Collected Date/Time 1236107001 Matrix SGS Ref.# Client Sample ID 6310 E 140th Ave Client Name Project Name/# Printed Date/Time 11/07/2023 14:29Anchorage Well & Pump Service (AWPS) Technical Director Stephen C. Ede 6310 E 140th Ave Drinking Water Sample Remarks: Parameter Results LOQ Units Method Allowable Limits Prep Date Analysis Date InitContainer ID Metals by ICP/MS HGS11/06/23EP200.8ug/LArsenic 11/01/2323.0 5.00 (<10)*B Waters Department EBH11/02/23SM21 4500NO3-Fmg/LTotal Nitrate/Nitrite-N ND 0.200 (<10)C Microbiology Laboratory M.A10/31/23SM21 9223B100mLE. Coli Negative 1 A M.A10/31/23SM21 9223B100mLTotal Coliform Negative 1 A 2 of 5 t SGS North America Inc.2 1200 W. Potter Drive,Anchorage,AK 99518 1 36 4 7 Ph: 907-562-2343 / Fax: 907-561-5301 | Chain of Custody &Sample Receipt Form for Private Drinking Water Analyses (Non-|il CLIENTINFORMATION CompanyName:Phone: m7 2U3._OFUO Please indicate the water source for these samples: Contact:Private residential well(water system E-mail(Required for Mobile Food Cart reporting): Address:Non-regulatedprivate water system City/State/Ziity/State/Zip Other(pleaselist): SAMPLE INFORMATION CAN KIT -£ 5 a 5 s Fs g 8 s 3 3 : IS z S 2 Please all applicable fields below including sample location,a i238 e &3 3h i collection date/time,and all analyses requested.ge (fe $;$3 g 2 55 les &|8 8 ag |&Eg ee,s |2 =E?H 23 EB£/2/2 |$|ee]2 le Identification/Locati conecion bate} Cofeston |SE ESE |¢fee]a |Se]&3 5 >‘Sample Identification/Location lection Date}ie (am/pm)ze gs 3 g 52 23 as z GA0EIMO™AVE —_|lobyps|rz-asmyTL]LI |Collected/Relinquished By:Date Time Received by Lab By:Date Time of::MecPid0g eyog [Pow|<<.woot Gerky _|'e/?1/2314:03 Method of payment:Q cash Q check #Q credit card Amount paid:$ Sample Comments/Special Instructions: Wel\[SourceC BUSAAD Probie #lycl/ S___ samenconor IN (FOR LAB USE ONLY) yes no nla JAre samples RUSH or SHORT HOLD TIME?aa DeliveryMethod:=)cient =Alert Courier Q other: if yes,have you notified the lab?Q For preserved waters (other than VOA vials,LL-Mercury or \aamicrobiological analyses), was pH verified and compliant? Are there any issues with the samples?(i.e.frozen,aincorrectcontainers,past 30 hour hold time)y ‘Temperature upon receipt (if applicable): Qa This section used for immediate notification of UNSATISFACTORY coliform results only: Analysis Began:Reported to: Analyst:Reported to: Total Coliform Signature: Result jE.Coli/Fecal TTInitials Date Time Other Bacteria Email Positive Total Coliforms/E.coli to Project Manager,QC Notices,Micro,and Data Management. FW083_KitRequest_COCtemplates_BottleGuide_202010143 of 5 Arsenic Advisory Certificate of On -Site Systems Approval # OSC231442 Subdivision: KIJIK, Block: , Lot: 1A A water sample revealed an arsenic concentration of 23 micrograms per liter (ug/Q. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 ug/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. information on arsenic is available from the On -Site Water and Wastewater Program website (www.muni.org/onsite) or at 343-7904. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. E. 140TH AVENUE KW I G I L L I N G O K S T . KIJIK S U B D . Taylor L. Dosch No. 189892 R E GISTEREDPROFESSIO N A L L A N D S URVEYOR